Individual
BRIAN NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
1893 ARDMORE DR, FERNDALE, MI 48220-2005
(248) 890-0740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009692
MI
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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